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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1437367



Case Details

VAERS ID: 1437367 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-01-28
Onset:2021-06-29
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9261 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bioflavonoid Products (VITAMIN C PLUS) 1000 MG TABS Take by mouth. ? dextromethorphan-guaiFENesin (ROBITUSSIN-DM) 10-100 MG/5ML liquid Take 5 mLs by mouth every 12 (twelve) hours. ? Echinacea 450 MG CAPS daily . ? Fluticasone
Current Illness:
Preexisting Conditions: Anxiety ? Aortic regurgitation ? Benign essential tremor ? Mononucleosis ? Murmur ? Seasonal allergies
Allergies: AMOXICILLIN
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT BECAME POSITIVE AFTER BEING VACCINATED.


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